Risk factors of the advancement of acute kidney injury in patients after acute aortic dissection surgery
Shang Wei
Ma Min
Zhang Wei
Ruan Cai-xia
Liu Nan
Sun Li-zhong
Hou Xiao-tong
Abstract：Objective This study aims to analyze the independent risk factors associated with advanced acute kidney injury ( AKI) after acute aortic dissection surgery. Methods Clinical data of the patients who underwent acute aortic dissection surgery from February 2009 to August 2013 were collected. Data including preoperative GFR, Cleveland values and intraoperative CPB time were gathered. The patients were divided to two groups of acute kidney injury with renal replacement treatment ( RRT) and without renal re?placement treatment. Results 400 patients underwent aortic surgeries from February 2009 to August 2013. Acute kidney injury oc?curred in 150(150/400, 37.5%) patients, including 118 patients without RRT and 32 patients with RRT. The GFR was significant lower and the history of hypertension, Cleveland value and the time of aortic clamp were significant higher inRRT group. Multivariate Logistic regression analysis showed hypertension, Cleveland value and the time of aortic clamp were associated with advancement of a?cute kidney injury. Conclusion Hypertension, Cleveland value and the time of aortic clamp were associated with more advanced acute kidney injury.
Keywords：Acute aortic dissection surgeryCleveland valuesAcute kidney injuryRenal replacement treatment
Publication Date：2015-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 161-164 )